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3649 Blue Jay WayCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3649 Blue Jay Way Lot: 16 Block: 4 Addition: Lexington Place South PID:10- 45060- 160 -04 Use: Description: Sub Type: e- Fireplace Work Type: Gas Insert Description: Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 Permit closed Total: Applicant/Permitee: Signature PERMIT City of Eaan thout required inspection(s). Letter sent to applicant on 3/23/09. (pf) Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Owner: Kevin M Kramer 3649 Blue Jay Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA085835 09/05/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State ' CIT?F"?ipGAN ? WAT?R S?#M ?`` "Y ? • 38 Rilot Knob Road 55?2 P. O. Box 21189 PERA#1T NO.: Eagan. MN 55121- DA"i'E: ? Zoninp: _ Ri No. of Units: ?- Owner Orr113. Thampson Addrom •?: ` ?? site /Wdress: 3649 Bl J Wa i Pl. TA Piwriber: t ? Meter No.: 3 S V t c ..?J ?? ti•:', . - Size: " o cFf i ?Lp4A Ot3pd Reoder No.: g ? 10•00pd Permit Fee• • I ?rs? to aomPif? MrMi? tM City of Engsw Surcho[ge: • 5 Misc. Chors?es: ?• ?' Totdl: 63' {?W, metex gY •- Date Poid: , Date of 1v ?? f ?s : CITY OF EA{3AN 383(LPftw 14o& Road ; P. 4. Bok 21"t99 PERMtT N4.. Ea?n, NIAt. 55129 ?4? ??a bh7'E: , 2aniv: Rl No. of LJiits: pwner, OlC'3:'.323 Thormsm ; Site /lddress• 3649 Bltle J LI Piumber ie '?tl p 38W?;3? MeM NO.: C0nrACfi011 Ch19Fg8: ? s Paw . lteader No.: ?? . oood fiermit Fee: ! esw io eoneP* tekb !ba City ef logm 'Surchorge: •? 4?p?enoa. M1ac. Chor9es: - I`00nd !M Total: BY Arrte °Pqfd: Date of Insp.: inap.: - . _ ..? Ct7Y ? GAN 318 lot ?t`! ? Q ? ? 76?? P?t1T hKf.Y e?` ?? . . }y ? + ?! .*p1 55121 }}} ?? ? . : ? ? .? /.? 'v?? - A.F WiA+F H Address- Site Address: 3649 bI,U?,.' +7? WaY I,16 $4 aa. ?1?.' SG9•_,-; ? Wwr+ber. • 91t'wb 2' $,.6'.35 54293 I ose Ra eomOy i*k No pe?r of loootr, Comoctiear? F Pesrr+#'fte: :5urdme; ? ? By Misc: OoeoesE ` ,.... ? Date of tr"p.: Tewd: `' ; ? tnsp.: .:. y This request void 1$ months frore„ W 'O 9 7 ?_ 0 Ei yq. n b /??G Renuest Date - ? Fire No. Rough-inInspect?ion Required? ? ?Ready Now.Q4jWiII Notify inspec:`- -? Sai'es ?No tor:WhenReadY ?Licensed Electrica6 Contractor Owner I hereby request inspection of above electrical work installed at: Street Address, Box or Route No, Ci (O ,` + ection o. ! 5hip me r No. ? Rartge No. Count . . ? :, . i . . O cuPant Phone No. , ? ' - /71al 9-id . Power SuPPlier Address EI trical Contractor ICompany Name) Contrector' Lic nse No. IM? f Mailing Addr ss (Contr tor or Ow Making Instailation) G Aufhorized Signature (C_?ntractor/Owner Making I staltation) Phone Number MANESOTA STATE BOARQ'OF ELECTWOY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bidg. - Room N-191 BE ACCEPTEDBY THE STqTf BOARD UNLESS PROPER INSPECTION FEE IS 7821 University Ave., St. Paul, MN 55704 Phone (672) 297_2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Es-00001-04 . ' See instructions for completing this form on back of yellow copy. ..X., Belo wOWMOvoered by This R`e9ut_ st Nevy Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service I Dupiex Water Heater Lightin,y Fixtures Apt. Bui Iding Dryer Electric Heatin ComrtxFciaIl Bidg. Furnace Si lo Unioader Indust?i Bldg. Air Conditioner BulkMilk Tank Farm " Other PecifY Other (SRer.ify) Ot er SP.ecify Other Other - uompute inspection tee ttelow # Fee Service'EntranceSize tt . Fee Feeders/Subfeeders # Fee' Circuits .' . 0 to 200 Am s 0 to 30 Am s ' 3,21,24 0 to 30 Am s Above 200Amps, 31 to 100 Amps 31 to 100 A s Swimminq Poof Above T00_...Amps Above tQ0_A- " ,. Transtarmers i frrig2"tion°Booms Partiai/Other Eae Signs Special fnspect(on $ ? TOTA Re ? ar '' f rL , . _ ..t, .. _ _ ) _/ L„F ? .? 1Z -w Rough-in Dat ?. e Electrical i?? ^Jspector, hereby certify that the above Final .. ? ? ?? te inspAy"cti.on has been. ?1!k m»da_ . . This request void 18 months from ? CITY OF EAGAN No 10 7 9 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 UILDINC PERMIT PHONE: 454-8100 Receipt ?t Te be w"d fer SF ?/GAR Est. Vclue $55,000 Date AUGUST 5 -11] 9 85 Site Address 3649 BLUE JAY WAY Erect Cx Occupancy LEX PL SO Remodel ? Lot 16 Block 4 Sec/Sub 2oning Rl Parce! Na . Repair ? Type of Const. V Addition ? No. Stories ? Narr?e Move ? ORRIN THOMPSON HOMES D li h ? Length 38 W z Address emo s 1712 HOPKINS CROSSROADS I t I ? Depth ?? ? City n . mpr. MTKA Phone 544-7333 Install 17 Sq. Ft. ae o Name SAME Approvals Fees ? ?u Address ? City Phone Assessment Woter 3 Sew. Pol ice Name Fire Address Enfl, City Phone Plonner Council I hereby ocknowledge that I hove read this opplicotion ond stote that Bldg. Off. 8/5/85 the iniormation is correct and agree to comply with ull applicoble APC Stcte of Minnesoto Stotutes orA City of E n dinances. Permit 2 • 0 0 Surcharge 27.50 Plan Review 149.00 sac 525.00 Water Conn. ?.00 Water Meter ?-0 0 RoadUnit 28n-O 0 TcPL 132.00 Parks ? Var. Date Copies Sipncture of Permittee A Bullding Permit is iuued to: ORRIN THOMPSON HOMES oll work shoil be done in occordonce with,all otgccble State of in ; I rotal !51,974.5 0 on the expreas conditfon that ond City ot Eaqcn O?dinonces. Buildirq Official : CASH AtCEIPT TY P IAGAN P. 0. BOX 21-199 EAGAPi. MHtilPdEWTA 55121 dATE???` FBCtiVED RROM ?,..... ?"',/'? a ? ?'. r,? _,.Y?•+liC. F ? 3 ?/ ? A MIQ UiV T $ t?7 .a A .. ' - & DOLLAR$? :.? . ? . . .. .y,;?• . . 1.00. "? CASH CHECIC ' _jy F O R 7 ? I ? k ? FIJND CpOG ? AMOUNT - ,f ` e; ? . . _.? w . _ . Thank YOU B t+¢15 4 2 9 3 White-PaYers CoPY I • Yellow-Posting Copy Pink-File CoPY ,$•. -.w*? g?.f ! 1 `,?,..., R@C91Qt 4 ) { ? r ) t? ?I1?EC?AN ? ?iMIT Pe?'Rri# N?. CIT'Y O?iEAGAN Fm ? 4. FiJI in nunAered ? 4pmc8s SJC 'ja Type or Pr tAgib/y Tot, 1. Date 2. tnstallaobn Cost 22W.100 ? 3. Job Address -iJA Bik. __J,_ 4rect ' _J-t? ! 4. Owner 0":VITN?"hw r : ;S?014 V.:'" 5. Contractor%a =j. 6L=F.1, Pfiane $? E6,7 i.. 6. Address --fi+632 Cbd,Cp-wa Avp- 40_ ? 7. Ci i tY Statee,. Zip ?J5?}?' ? '?'`?-. 8. BuildiAg_TY e: Residentiai fl C o mmerc:a l ?' Ins tit t•c,nal 0 ?. ? 9. Wofk Deseription: Idew El Add G Alter O g Repair C7 10. Desa'ibe Zn8t4i11. s" fCtrCed P-ix" hen YPe Wt itaS I , 11. No. Equj,pment 8TU - M. Ea. Forced Air No. Eauicument CFM Air n ' Mfg. Ha dt tng: Boilers Mfg. Mech. ExF?ausi Unit Heaier Mfg. Oth Air Cond. er Mfg, 1 Gas, Piping Outlets 12. 1 hereby certify that the abave information is true and carrect, and Ia?ee ta ; crompty vaith_al?":o?dir?an odes g?r??ing thistype of wt3rk. . ,? ? , tf ,? Signed• ? for RougM Final € lospectians:.-Date InsP. Daie Fnsp, i; 4 ! This is Ycrur permit when numbered and aipProved. ' '?roved CITY QF IEACiM 00 ; ;. L. ?, _ t r pneiprt PLUMBIWt$ PERMIT r*Mltlle. CITY 8F EAGAN F»?,? ; fil/ in numbwred 4um sx ? , TyPe or Print kvbiY Tot p.5,p p(' ? 1. Date 2. Instailation Cost ? 'w.0 ; xP1 3 3. Job Addres,?`?'? Lot Blk. -"i Tract=4+ r0 u1?- ? 4. Ownerv iil 1lvY l 5. Contractor ?U! 1,D-.,ld"rtj Phone 6. AddressI}`°-?! ?? 7. CitY t tState M ?.? Zip 8. Building Type: Residentia?4 Commercial 0 institutional O 9. Work Description: New)p Add O Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixt Cess ao}/prainfieW ? Bath tubs p Scptic Tarsk -° Lavatory Sofitner ? SFiower Well ? Kitchen Sink Urinal/Bidet . Othe 1 Laundry Tray r i Floor Drains Orinking Ftn. Slop Sink Gas Piping Outlets 42. t hereby certify that the above information is true and correct, and i agrms to comply withrall ordp'nances and codes gaverning this type of work. Signed : for `Rouph Finsl Inspections: Date Insp. Date Insp, ? This is your permit when numbered and approved. l0.pproved CITY OF "EAt3AN 46"100 Receipt PLUMBING PERM17 Permit No. ' CITY OF EAGAN ? a Fes t ? ? •, - .?- Fill in numbered spaces S/C Type or Print legib/y Tat. 1. Date?? 2.lnstallation Cost 3. Job Addresv" Lotj_Bik. "t Tradt- 4. Owner f _ -' .: t. .•.. ? ? i !`" ? ? c i..:. .?;;r, 4 5. Contractor Phone '`f ? 6. Address,, 7..City ?l ? ?'' , f •ti' '' State Zip ---, ? ?. ?? ?*`: „ 8. Building Type: Residential C? Commercial ? Institutional ? 9. Work Oescription: New ? Add ? Atter 8 Repair ? 10. Describe r' ? 11. No. Fixtures Water Closet No. Fixtures Cesspoot/Drainfield Bath tubs $eptic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidef Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping 0utlets ? 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. ? ? Signed : for ? ? Rough Fina1 Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. APProved CITY OF EAGAN 464-8100 CITY OF EAGAN Remarks addicion Lexington Place South t,ot 16 sik _4 Parcet Owner Street " 361+9 Blue Jay WaY State Ed. Improvement Date Amouni Anrrual l''ears Payment ?R i CSate STREETSURF. ro' 1984 ??? . ?_< 5- /:S4p? - ?? 7?? °"2 ,?'?,??'o ; StREET RESTOR. GRADING SAN SEW TRUNK 247-64 16 51 SEwER LArERAL 10 11 1986 1631.00 - 5 t 9.9o lljg?e"` -2'^?-?`' r ices 101 1986 729.39 1-43,:87 5 WATERMA W & 1985 6-5.81 . rt WATER LATERAt lOla. 198$ 873 . 43 I?'4-.:6H 5 +? ?' -' ??? WATERAREA 1014 19$6 243.73 48.74 J` WAT LAT BEN 10 1986 111.98- . 212;39 5 e ,I/ t .a-~.?..3 sroRM sEw rR K 1014 1986 4 2 6. 5 4, . 85. 3 0 5 ?? 4 7 e- STOFiMSEWLAT 1011o- 1986 803.3`4. ?1 6:07A 6 ? In$ 4? !'/S`i5' 2?-:;;k?, ?-?`?. 1 GURB & GUTTER SIDEWALK , : STREET UGHT Road j771't7:,. ' 280.00 5 5 975/9`?J WATER CONN. 500.00 # BUILDING PER. 10711 ? sac 525.00 ?f ?? PARK E _ ?! ' ,flP_F?MIT # H (O b I ?_ RECEIPT DATE: r. USIDENTUL PLUMI196 PE&bI1T AfPLICALTIOR crl'Yog E*sm 3$30 PIILOT KNOB iiD FAGi4tR. MN 551E8 651-6$1-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: _3C,O4?.?... OWNER NAME: :? TELEPHONE 1-I S Z" Ca45 7 (?'?G./\.?.... S C???,..?%???,,, ` (AREA CODE) INSTALLER NAME: TELEPHONE #: 6G-1 _ 33?" Co I'1 I n C '/ STREETADDRESS: (AREA CODE) CITY: STATE: 1?\ f"-j ZIP: (0(3 Place a check mark next to the ermit work t e _ New residential dweiling unit under construction and not owner/accupied $ 90.00 ? Add-on, modification or alteration to existin dwelling uni#, including: $ 50.00 • abandonment of septic system • new installation/repairlrebuild of RPZ • lawn irrigation system • water tumaround r Nature of work: A47'" Co Septic System, new/refur6ished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge ? .50 n -, Total AUG23 2001 g?? I ?J Reminder. Be sure to schedule inspections of alterations, i.eI water heaters, water softeners, etc. --:_--,----- I herebY acknowled9e that I have read this apPIicaGon, state that the informaGon is corre6t; arrd agree to com µplYwith ail aPp ? licable C'Y of Ea9an ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City durinq its normal operational and maintenance activities to the facilities constructed under this permit within Ciry property/right-of-way/ease t , k?? i SIGNATURE O MITTEE Updated 1/01 . ? / ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAH 'W HOTE: ALL CONTRACTORS MUST BE LICENSED IaITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS Plan: 1 3 CERTIFICATES OF SURVEY SET OF ENERGY CALCULATIONS To Be Used For: xesidence Valuation: Date: 7 Site Address: 36?M WQcT OFFICE USE ONLY Lot: 10 Block + Sect/Sub rect )4- Occupancy R-3 Remodel Zoning Parcel # Repair Type of Const Enlarge # of Stories Owner Move Length 38 Demolish Depth 40 Address Grade _ Sq Ft City/Zip Code Contractor Orrin Thompson Homes APPROVALS Address _1712 Hopkins Crossroads City/Zip Code Minnetonka, Minnesota 55343 Phone # 544-7333 Arch./Engr Address Phone # Assessments Permit Z-9?. Water/Sewer Surcharge Z,, 5-° Police Plan RevieW 4,1 . = Fire SAC S 25. `= Engr Water Conn 500 = Planner Water Meter (03. SR Council Road Unit 2gO?' Bldg Off Parks APC Treatment Pl ?3 Z• ? Variance 92?` J ? / TO?AL - • .L . . _; ? .. ,... _i, 6 . ! .. . .. ? .. "... ?i? : • . 8 , _. .?; a ._ .. .. ! .. . +I??II? . wi ? • , Pak ? ? Far: U. S. HOME CORPORATION BI-UE ti. ? Q) ? Q1 a W J 1% . ? J ? Qj ? ? .i ? ? Q W ? O ;00 o ? N- ? C. R. WINDEN b ASSOCIATES, INC. LANp SURVEYORS Ttl. 645-3646 13$1 EUSTIS ST.. ST. ?AUt, MiNN. s510e JAL-J 1NA.Y ?3.00 (903.651 r ^ soo o ? 0 ? (403.2) --If -o 0------28•8---- ? 202 -II -O ? GI--1 t-- 1!, 5 d ?c tp 6.3 1 N . ? lc? L v" -Proposed kA o Nouse ?° o- I- - 34 _-is --o I? (90?4) wAdk"+ ?Z?Overl+an9 0 0 _ o r / 1 ? / Scale: 1" = 30' O Denotes Iron Monument NOTE: o Denotes Wooden Stake Proposed Garage Floor E1.=905.53 (905.2) Denotes Proposed Finished Ground EL -.4-- Denotes Direction Of Surface Drainage Vertical Datum - N.G.V.D. 1929 ? ? ? -?- ? •0 L_ ?,_? ? ?('? ?po 58?°i3'47"w Lot 16, Block 4, LEXINGTON PLACE SOUTH, Dakota County, Minnesota. WE MERE6Y CERttfY THAT TMIS IS A TRUE ANO CORRECT REPRESENTATION Of A SURVEr OF THE IQUNDARfES Of THE IAND ASOVE CESCRtdED AND OF THE LOCATION OF All 6UIlDINGS, IF ANY, THEREON, ANb A1l Y!SldLE ENCROACMMFNTS, If ANY, fROM OR ON SAID IAND. Dorod fhis 2GtA dor ef.1.JU1; _ A.O. 1085 C. R. W DEN d ASSOCIATES, INC. br Surveror, Minnowia Rogistrotion No rI726 Im 1? f _.7: 2/84 CITY Or EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODI (PIEASE PRINi) 1) PROPEPI'`I ADDRESS : LEGAL DESCRIPTICV: .I"r STRL'--m ?', DAT':.' OF CJRTGI?TIAi., ri.;ILDI::G ISSZ:A%,(=- : P?WS= ::.^.`ITT'fppOFOS=" t'S': ?---•_ -, -???; 122R-1 SINGLE FPY.ILY D R- 2 DUPL?.°Y M,'O L'NITS ) E3 R-3 TG:I?C`C,TSE (`?E?R.EZ + UNITS) ( UNITS) ? P,-4 UNITS) p CCOMEPCLAL/FtEI'AII,/OE'FICE p 1NDL'STRLAL ? L'%7STIMTIO?IL/GGVE,?t.TTLmE.,';T 2) APPLIC= (PLEASE PRINi) rm,r'? :?I?? V r ? i'1'.-?c??'?? J ADDREss : ? P I ? r ?'? ??'Y? c??, rj o? CTT`I, STA'I'?.', ZIP: Miin{?i1(11 i?157 PHOa: ? 3) p101BEn (PLEqSE PRINT) FOR CITY USF 04LY NXIE: o ?Yl p ii f/YAb1 r26 RLUMBER CESSE: , ?DREss: ????i M?n??Pt?r,k?a , ?l? . Active CITY, STA1'E, ZIP: ??,? ExPire NL I Lr Q?t Record PHONE' PlUMBER LICENSE 4) OCC.,'uPp,N]'j`/Civ';; .?t ( LEASE PRINi) ?: ?-??.-? - ADDRESS: CITY, STATE, ZIP: PFiONE: niTia 5} INDIGATE WI-iICH PERi•1IT IS BEING RE?.)UESTID: JUI CaMNECI'ION TO CITY SEfrlER ? CO^.NECrZON 'ICO CITY UKTER ? Cli't1E2 (PT.£A.SE DESCRIBE) O ) li:ll1Ci Vi::: Ci.L: : ? PT.ZEa.SE F?OID APPF,WEQ PIIZ'vLIT FOR PICI:-L'P BY ONE OF AE(NE -EM PLEASE "'r'1ZL APPR{7VE'D PEPtilIT TJ 1, 2, (j 4ABCVE (Circle one) 7) SIcz7,i'IL'RE: LC &j ?q;j.r ?a ??: ``,---? DATE: _ [` ? `11, '?' t"jc: 2! ?lR:iliRpwj0 JIM Am!! !l:fOr]r!'w !oon i!'ltfFa '? =. , '", . ?°'• ' • _ ?? #?s s E r?ss? :a a at ?? rs ls ac uKSaaW F 0 R C I T Y U S E O N L Y PERI`4IT " ISSUED ? FE E` S : $ $ C. 3. ?C-1 . S $ $ JS??v y $ ? $ ? $ $ $ $ $ $ $ . $ $Ei`;ER PrRMTm WATER PEIZD1IT (I17CL'uDE -SliRCHARGc.) WATER METER/COPPERHORN/OUTSZDv READER WATER TAP (INCLUDE CORPORATI0N STOP) SV;vER TAP ACCOUNT D-POSIT - WATER WAC SP.C TRliNK WATER ASSESS:?ENT TRli :1K SEG7ER AS S: S S: iENT LAiEP.AL BENEFIT/TRU:1K SE:•7E11-1 LATE:ZAL BENEFIT/TRU:1K NATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL Ar10L'NT PAID/qECEZPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN ti"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE _NO ENGINEERING DIVISION. LIST AS A CONDI- ,??%'TION. SUEJECT TO THE FOLLOWING CONDITIONS: ' APPROVED BY: i TITLE: DATE: w! W17M toi? ?F?! Mt+? wE = irt W? ?la RESIDENTIAL 3(/ ? BUILDING PERMIT APPLICATIO?N CiTY 0F EAGAN 3830 PILOT KNGB RD, EACAN MN 55112 651-681-4675 New CtNlsttuction ReauiremeMS R?UReaa;t Reou{?m20 S • 3 registered sb s+xveYs shaN'+n9 sQ. it of bt, sQ. ft. of house: and au raofed areas • 2 copies of plan ? (2U% mazimum lat awerage allowed) . 1 set of Enwgy calculations for heated adciWans • 2 copies of plan stwwmg bean & wiodow sizes, Poured found design, etc.) . 1 site stwey fcx exterior addftns & dedcs • 1 set of Energy Callculatians . IndaAe d ham senred by septic qstem ftx ' • 3 wpies of Tree Preswvation Plan N lot pWtted aQer 7/1/93 • Rim Joist Detail Opdoris seleqion steet (bidgs wkhh 3 orless smiGs) DATE VALUATION S1TE ADDRESS3 ? '6 MULTl-FAMlLY BLDG ..r Y N i'YPE OF WORK FIREPtACE(S) _, 0- ]_ 2 APPLIGANT STREET ADDRESS"s? vf" CfTY--Z., ?STAYp&ALZI ?P?`- &?,Z TELEPHONE # CELL RHONE # 4(3- r f?.3: j?2 f FAX # e,?? PROPERTY OWNER ? ? ?h?.@?.A.?. TELE#'HQNE # 6s' ( ...........r.a...n......... r............r.....a.............rr.........•......r.......r...n.r....r.r . . COMPLETE THIS SECTION FOR "NEW" RESIDENTIAt BUILDINGS ONLY Energy Code Category MINNESOTA RITLES 7670 CATEGORY 1 M n92002 (?l submission type) • Res idential Ventilatiort Category 1 Worksheet Submitted N ed • Energy Envelope Calculatic?ns Submitted Plumbing Gontractor: Phone # Plumbing system includes: ? Water Softener ?. La.wn Sprinkler By : .40 Water Heater No. of R.I. Baths ? No. of Baths Mechanical Conhactar. Phone # Mechanical system includes: Air Conditioning Fee: $70.00 ? Heat Recovery System Sewer(Water Con#ractor. Phone # I herebyacknowledge that i have read this application, state that the information is correct, and agree to campiy with all applicable State of Minnesota Statutes and City of Eagan Or ' a ces. ?. Signature of Appllcant OFFICE USE UNLY Certificates of Survey Received Tree Preservation Plan Received No# Required _ ' Updated 4/02 OFFICE USE ONLY ? 01 Foundation 13 07 05-plex ? 13 16-pisx ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Att - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ` 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF O 04 02-plex 0 10 08-plex 0 18 Decic ? 23> Porch (screened) ` 0 36 Multi 0 05 03-plex 0 14 10-plex 0 19 Lower Leve( ? 24 Storm Darnage ? 06 04-piex ? 12 12-piex PIbg__?Y or N ? 25 Mis+cellaneous ? 31 New O 35 Int Impmvement O 38 Demolish (Interiof) 0 44 Siding O 37 Addition ? 36 Move Bldg. 0 ' 42 Demolish (Foundation) ? 45 Fire Repair O 33 AlteraYion ? 37 Demolish (Bkig)* ? 43 Reroof 0 46 WindowslDoors ? 34 Replacement . 'Demolltion (Entire Bidg only) - Give PCA handout to appiicant - ? Valuation Occupancy MC1ES System 'i Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. af Bldgs Length Fire Sprinklered Type of Const Width REQUIRED tNSPECTlQNS . _ Footings (new bltlg) FinaUCA. Footings (deck) ` FinallNo C.O. Footings (addition) Plwnbing _ Faundatian HVAC _ Drain Tile Other Roof Ice Wat & er - Final Pa01 Ftgs - Air/Gas Tests _Final Framing T ? Siding ` Stucco - Stane Fir 1ace R.I. - eP ? Air Tesf Final W' dows newheplacement ? ( ) i Insularion .._ Retaizting Wall Approved By , Building tnspector Base Fee Surcharge Plan Review MCJES SAC - City SAC a#er W Suppiy & Storage I WP S& ermit & Surcharge Treatment Piant Plumbing Permit Mechanical Permit License Search Copies Other Total l 1 S-? ? ? ?-- , RES#DENTlAL BUiLDING PERMIT APPLtCAT10N CTTY OF CAGAN 3830 PILOT KNQB RD, EAGAN MN 55122 651-881-4675 : New Cortatniction 9aauirements RtmodeitReoair Rea iu remnts .. ., • 3 registered sPos surveys showing sq. ft of iot sq. ft. of house; aN afl roofed areas * 2 copies of plan (20% maxintxn lot coverage aNowed) • 1 set of Energy Catcutatrons for heated additkm • 2 copies of plan showing bean & window sizes; Poured fourni design, etc.) . 1 site survey far exterior addftm & decks . 1 set of EnergY Cdcdadm . lndicate rf trosrre serveti by septic systen for addftm • 3copie,s of Tree Preservatim Plan 'rf iot platted after 711/93 • Rim Joist Detad Optim setectbn sheek (tldgs wkh 3 or Iess unitss) 6'D DATE 7 'o`k9- QzQ VALUATION -7_ SITE ADDRESS MULTI-FAMIl.Y BLDG Y N ? TYPE OF WORK_.,., ' FIREPLACE(S) -0_.. 1_ 2 APPIiCANT?Ticheny Roofing & Siding, l??;. STREET ADDRE49 SOlith OWaSSO B1v11. CITY STATf ZIP Llttle CdMda, MN 55117 TELEPHONE # FAX # PROPERTYOWNER J?GL1(1 1 C?QIYI TEiEPHt7NE# LISo? `pc?Clc? .. . . ..................................... r.raO r.r..n..•...4.ri......rE??.•n.r........iw...a.'..s....... COMPlET€ THlS SECTI4N FflR ftNEW" RESIDENTlQL BUIIDINGS flN'EY . ,; Energy Code Category _ MIIVNESOTA RULES 7670 CATEGORY I MINNESOTA RUL ES 7672 (d submission type) • f2esidantial Venfitadon Cateyory 1 Warksheet Submitted + tVew Energy Gade Warksheet Su#mitted • Energy Envelope Galculafions Submitted Piumbing Contrcctar. _ Phone # Plumbing system includes: ? Water `Softener Lawn Sprinkler ? Fee; $90.00 -- Water Heater No. of R.I. Baths Na of Baths Mechanical Contrac#ar. Phone # Mechanical system includes: Aa ' 'r Condia'onuig eF? e: 00 _ He a t Recovery Sys tem ? Jv? 2 6 2 0 ? 2 Sewer/Water Conhactor. Phone --------------•---------------------------------- ----- - ... _ 83 - -- i hereby acknowiedge that i have read this application, state that the information is carrect, and agree ta comply , with aii applic4bie S#ate of Minnesota Statutes and City of Eagan Ordinances. °' , ' ` Signature of Appikant ? ?....._...?...... . .._...?........ OFF'ICE USE ONLY Certificates of Sunrey Received Tree Preservation Plan Received Not Required Updated 4102 OFFICE USE ONLY -? ? 0 01 FoundaUon ? 07 05-plex ? 13 16-plex ? 20 Pooi 13 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-piex ? 16 Fireptace ? 21 Pocch (3-sea.) 0 31 Ext. A4t - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea:) ? 33 Ext. AIt - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Forah (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Levei fl 24 Storrn Damage ? 06 04-plex ? 12 12-plex Ptbg_Y or _ , N 0 25 M1Aiscellaneous ? ? 31 New ? 35 Ut Improvement ? 38 Demotish (tnterioc) ? 44 Siding ? 32 Addition 0 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair 0 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reraof 0 46 - WindowstDoors ? 34 Replacement *Demolition (Entire B{dg on{y) - Give PCA ha»dout #o appiicant Valuation 4ccuPancY !vlC1ES S1'stem Census Code Zaning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs L.ength Fire Sprinkiered TYPe of Const Width REQUIRED INSPECTtONS _ Foatings (newbldg) FinaUC.O. , Foatings (deck) FiuaUNo C.O. _ Footings (addition) Fhunlaing Faundarion H'VAC Drain Tile Other Roof - Ice & Water Final - Air/Gas Tests Pool Ftgs -Final Framing - - Siding ` - Stucco Stone Fireplace _ R.I. , Air Test _ Final _ Wundows (new/replacement) _ Insutation _ Retaining Wall I, Approved By Building inspector Base Fee , Surcharge Pian Review MC/ES SAC City SAC Water Suppiy & Storage S&W Permit & Surcharge Treatment Piant Piumbing Permit Mechanical Perrnit License Search Copies ` Other Total ? I - ?..,?1?? ?ry 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address Unit # Property Owner Telephone # Contractor Street Address ??Q/ City State M?1 Zip Telephone # 5?2 d.? Bond #: Expires: The Applicant is Owner ? Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional ./ Replacement _ air exchanger f air conditioner _New ? Replacement _ other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the aporoved plan in the case of work which requires a review and approval of plans. ?-Tra ? ?Uh r- Applieant's P Aiited Name 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install _Remove **see below fnterior Improvement ^ Install Piping _, Processed _Gas Nature of Work: **When installing/removing underground tank, ca/l for inspection by Fire Marshal and Plumbing Inspector PeCmit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 ? $ State Surcharge If ermit fee is over $1,000, add $.50 for every $1,000 e?rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be' in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: PERMIT City of Eagan Permit Type:Building Permit Number:EA135849 Date Issued:04/07/2016 Permit Category:ePermit Site Address: 3649 Blue Jay Way Lot:16 Block: 4 Addition: Lexington Place South PID:10-45060-04-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kevin M Kramer 3649 Blue Jay Way Eagan MN 55123 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office use Permit#: /• Lel q� � , ��t� of 11a�a4 (r. Permit Fee: le " —d 5 3830 Pilot Knob Road Eagan MN 55122 Date Received; Phone:(651)675-5675 Fax:(651)675.5694 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4/5/2017 Site Address: 3649 BLUEJAY WAY Unit#: " , l .+• N 0, 1iti�'k,,,i" t ij,", Name: KEVIN KRAMER Phone: 9522386599 • ,, -,,, r�` a,f,,, 3649 BLUEJAY WAY EAGAN 55123 �g .x �,E, Address/City/Zip: r�?f'- V , •V� Y,o dL �,•; ,1 t`� 7,W Applicant•is: _Owner X Contractor _ nAA° REPLACE ROOF ,i,6 ,: r n w }r k r4 1 i I ,�..?, i Description of work: •,i1441 of ;°x .,',,;';k' .` Construction Cost:• 0000 Multi-Family Building:(Yes I No X) `µ`, r ri ira:ta, ` ,' ,xr I' TO SERVE CONTRACINGil _ NANCY ti ' ,.-,,,7•, •i , IER.,;,•0 Company: Contact. p ' l' � '�`"�•�� Address; 5407 BOONE AVE N. -766. c�. NEW HOPE at s ' , ( , 1.t yi 4° * `'` •?;'•12,„,,t!')0 MN 55428 7634257-66'7— JAY.KELLY@TOSERVECONTRACTING.COM 7 '(�{ ;, �' State: Zip: phone: Email: . 4,.., 1,� . BC664939 rl "�"" ` '1 License#: Lead Certificate#: If the project is exempt from lead certification,please explain why: . . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes,date and address of master plan: Licensed Plumber: • Phone: Mechanical Contractor: V Phone: Sewer&Water Contractor: • Phone: • Fire Suppression Contractor: Phone: '7,7::,)1 f �� ,; , 7 ,mow ' x'^,.17 ,7,7 t r 7;r 'a v.e,, ;77+iNa { ;,�V V V Y dr_ e i7 '4, rj q rl �1lui>> ! i�r,�r// r rt'i r��, �r ,,��• l{u 3. ( I / I?ir; r „� ,} � G fai f,. 1 .L h� F 'u,. pe,. r n,nifA. i< t P x IP: Ly., ;4y1'. 4`4k• J.:i p17 jj'1?-. y. 2;171,F,_rHa.fi51 s I i.1 ^"'17F p z^ 1 ftil'''''' 1 a "�-" F-?•i�, P !(f(F�m� � r�. . � r .ttrF.Fr. f e_IrY��r Ir. ijr•;� �/1N i ,i;r y'n e1 it fir" ��,�1�� a '3��}'{�~�^ �m` �Ffi��T''-i' �' . a � J�t'1�. " a "`f1 ,;" <. 1a r 7 eF �'� ,� �' , u iP, rw i l@ t i,I t,l �1#N1 j,R �r7 9-eJ ''Xis .F r � F""rr qt, } , i11 ,4,� '�,j r,..&.,'}i�x.�+.,0,1:;:'. .Gd t fi:r,:, .,,r.i, .a a{ ,i..<1�.1;,NJ,a.,l.a�h�L; ,cI!L,.�',1',..,.,,1 s,i.- ;1°:,a -`'"h,.rh}'" I;"'., r"•'`ij.1 t ,, ��'i"Cifn�'dtiiF-,FYi.[P.7Il4',13P+. 4tit,�I.. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. iyyppt,ggherstateonecali.org . I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan:that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 100 days of permit issuance. xJAY KELLY x Applicant's Printed Name AppiicarW s SI ture ' Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177279 Date Issued:06/23/2022 Permit Category:ePermit Site Address: 3649 Blue Jay Way Lot:16 Block: 4 Addition: Lexington Place South PID:10-45060-04-160 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kevin M & Amber L Kramer 3649 Blue Jay Way Saint Paul MN 55123--222 One Hour Heating & Air 15191 Boulder Ct Rosemount MN 55068 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature